Active NPI
Deonne Reed
- Physical Therapy Assistant
- Jefferson, IA
National Provider Identifier
1881038388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 00792
- Practice address
- 1000 W Lincoln Way
Jefferson, IA 50129-1645 - Phone
- (515) 386-0284
- NPI assigned
- Apr 26, 2013
- Last updated
- Apr 26, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 00792 | IA | Primary |
Addresses
Primary practice location
1000 W Lincoln Way
Jefferson, IA 50129-1645
Mailing address
PO Box 461
Nevada, IA 50201-0461
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00792 | Other | IA | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00792 | IA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366934400000",
"number": "1881038388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 461",
"city": "NEVADA",
"state": "IA",
"postal_code": "502010461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W LINCOLN WAY",
"city": "JEFFERSON",
"state": "IA",
"postal_code": "501291645",
"telephone_number": "515-386-0284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "DEONNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-26",
"last_updated": "2013-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IA",
"license": "00792",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "00792",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jefferson, IA
- Pinnacle Health Facilities Xvii LP (Regency Park Nursing & Rehabilitation Center of Jefferson)
- Prime Performance Chiropractic & Therapies LLC
- Private Victories Counseling Services, LLC
- Kayla Rene Promes, CNP
- Reason Inc (Jefferson Family Chiropractic)
- Regency Park Nursing and Rehabilitation Center of Jefferon
- Leah Renwanz, DC
- Abby Michelle Richards, CRNA
- Ashley Nicole Riphagen, TEMP LMHC, CRC, MA
- Rural RX LLC (Greene County Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.